2017-2018 update. This little booklet has been fully revised this year. Two overlapped sections ("Additional things for admission order" and "floor orders") are finally combined. Some redundant sections are removed based on the feedback we received. More management sections (such as managing acute alcohol intoxication, sepsis, renal failure, etc) are added. New section on "Introduction to Cardiology Procedures" is added. All the sections are edited and at least one-third of the book has changed. The sole purpose of this booklet is to help new interns in the beginning of the year. It is mostly focused on inpatient medicine and ICU rotations - how to handle the most common floor calls, such as chest pain, uncontrolled HTN, vomiting and to help guide running RRT/ Code Blue. With advances in technology such as widespread use of electronic medical records, this booklet has been electronically formatted to meet the demands of dynamic medical system. We hope this booklet will make your intern year less stressful, so that you can focus on learning, the decision making process, and ultimately, better patient care.